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Regulatory attention on flavored and menthol manufactured cigarettes has grown, and in some markets flavored options were restricted, which narrowed factory-made menthol availability

It's not worth it, they can't compete with the illegal tobacco in town." Under-the-counter cigarettes are being imported illegally in vast quantities and are being sold tax-free, at stores across the country, for half the price of their legitimate versions

adults to incorrectly believe that American Spirit cigarettes are less harmful than a comparison cigarette pack

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A substantial body of research, which has accumulated over many decades and from many countries, shows that significantly increasing the excise tax and price of tobacco products is the single most consistently effective tool for reducing tobacco use